Bongcas, Constancio D.

HRN: 09-19-34  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/22/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
05/22/2026
05/28/2026
IV
500
Q8H
Intraabdominal Infection
Checking Initial Appropriateness 
05/22/2026
CEFTRIAXONE 1G (VIAL)
05/22/2026
05/28/2026
IV
2g
OD
Intraabdominal Infection
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: